<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Phone')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-phone" class="form-control" name="row[phone]" type="text" value="{$row.phone|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Orderid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-orderid" class="form-control" name="row[orderid]" type="text" value="{$row.orderid|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dhtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dhtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[dhtime]" type="text" value="{:$row.dhtime?datetime($row.dhtime):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dhjf')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dhjf" class="form-control" name="row[dhjf]" type="text" value="{$row.dhjf|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dyurl')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dyurl" class="form-control" name="row[dyurl]" type="text" value="{$row.dyurl|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Dymt')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-dymt" class="form-control" name="row[dymt]" type="text" value="{$row.dymt|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Count')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-count" class="form-control" name="row[count]" type="number" value="{$row.count|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hxcount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hxcount" class="form-control" name="row[hxcount]" type="number" value="{$row.hxcount|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
